I have always had a positive ANA but my DX was based on my kidney involvement, blood work and symptoms. I do meet the critieria, but my DX came easily due to my kidneys.
DX: Kidney Disease, (? Lupus Nephritis) 2002
DX: Raynaud's Phenomenon and Lupus (SLE & Class V Lupus Nephritis) 2005
DX: Anorexia and Hypokalemia 2006
meds: plaquenil, amiloride, klor-con